Organization
ELK DRUG INC
Active
Other names
Elk Drug
Organization subpart
No
Provider details
NPI number
Authorized official
SEAN THURSTON (CEO/OWNER/PIC)
(509) 382-2536
Entity
Organization
Contact information
Practice address
176 E MAIN ST, DAYTON, WA 99328-1351
(509) 382-2536
(509) 382-2067
Mailing address
176 E MAIN ST, DAYTON, WA 99328-1351
(509) 382-2536
(509) 382-2067
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHAR.CF.60214219
WA
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2129598
PK
—
Enumeration date
09/13/2006
Last updated
02/20/2017
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